MEDICARE: NAERI HAKOPIAN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	PSY36774	CA

General Provider Information

NPI Number	:	1487586194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAERI HAKOPIAN PHD

Provider Business Mailing Address
First Line	:	5950 CANOGA AVE STE 100
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-5052
Country	:	US
Telephone Number	:	818-792-0124
Fax Number	:

Provider Business Practice Location Address
First Line	:	5950 CANOGA AVE STE 100
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-5052
Country	:	US
Telephone Number	:	818-340-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ NAERI HAKOPIAN PHD” Practice Location

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